Postoperative recovery after general anaesthesia with and without retrobulbar block in retinal detachment surgery

  1. F. CHUNG1,*,
  2. D. WESTERLING1,
  3. L. D. J. CHISHOLM2,
  4. G. W. SQUIRES3

Article first published online: 22 FEB 2007

DOI: 10.1111/j.1365-2044.1988.tb05657.x

Issue

Anaesthesia

Anaesthesia

Volume 43, Issue 11, pages 943–946, November 1988

Additional Information

How to Cite

CHUNG, F., WESTERLING, D., CHISHOLM, L. D. J. and SQUIRES, G. W. (1988), Postoperative recovery after general anaesthesia with and without retrobulbar block in retinal detachment surgery. Anaesthesia, 43: 943–946. doi: 10.1111/j.1365-2044.1988.tb05657.x

Author Information

  1. 1

    F. Chung, MD, FRCP(C), Assistant Professor, L.D.J. Chisholm, MD, FRCS(C), Professor of Ophthalmology, University of Toronto

  2. 2

    G.W. Squires, MD, Ophthalmology Resident, Toronto Western Hospital, Toronto, Canada

  3. 3

    D. Westerling, MD, Senior Registrar, Department of Anaesthesia, University Hospital of Lund, Sweden.

* should be addressed to Dr F. Chung, Department of Anaesthesia, Toronto Western Hospital, 399 Bathurst Street, Toronto, ON, M5T 2S8.

Publication History

  1. Issue published online: 22 FEB 2007
  2. Article first published online: 22 FEB 2007
  3. Accepted 16 February 1988

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Keywords:

  • Anaesthetic technique;
  • nerve block;
  • Surgery;
  • ophthalmic

Summary

This study was to determine whether general anaesthesia plus retrobulbar block would be a better anaesthetic technique than general anaesthesia alone in retinal detachment surgery. Twenty-eight patients were allocated randomly to either general anaesthesia with retrobulbar block or general anaesthesia alone. The anaesthetist involved was blinded as to whether a retrobulbar block was performed or not. Significantly fewer patients in the general anaesthesia plus block group complained of postoperative pain than patients in the general anaesthesia group (21.4% as compared with 64.3%, p < 0.05). Those who received general anaesthesia plus block recovered significantly more rapidly than those receiving general anaesthesia alone. The time to opening of eyes on command (p < 0.05), telling the correct date of birth (p < 0.01), reaching a full recovery score (p < 0.005) and performing a simple motor task (p < 0.025) was shorter in patients with general anaesthesia plus block. Thus general anaesthesia plus retrobulbar block was superior to general anaesthesia alone in terms of pain and recovery after operation.

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